Influence of the Integrated Delivery System on the Medical Serviceability of Primary Hospitals
Table 1
Performance of healthcare in Huzhou No. 1 Hospital before and after taking measures.
Subject
Scoring criteria
Numerical value
Score
Before
After
Before
After
Breadth of diagnosis and treatment
Number of DRG groups in secondary hospitals
Full score will be given to group ≥350, and no score will be given if the score is not reached (full score of 7 points)
348
376
0
7
Number of township health centers with standard number of outpatient diseases
If the number of diseases is more than or equal to 200 and the year-on-year increase is regarded as reaching the standard (score = full score − number of substandard hospitals 2, full score of 12 points)
2
6
4
12
Contracted coverage rate of family doctors in key population
6 points for coverage rate ≥60%, 7 points for 70%, 8 points for 80%, full score for 90%, and no score for less than 60% (full score of 9 points)
79.77%
82.78%
7
8
Efficiency of diagnosis and treatment ability
Average daily diagnosis and treatment times of doctors
No score if it is less than 10, 6 points will be obtained if it is equal to 10, 1 point will be gained for each person who is promoted, and full score will be obtained if the score is greater than or equal to 14 (full score of 10 points)
12
13
8
9
Bed utilization rate
If it is controlled at 95% ± 2%, 1 point will be deducted for every 3% reduction (full score of 10 points)
83.16%
85.87%
6
7
Average length of stay
If the average length of stay is less than or equal to 8 days and less than the previous year, full score will be given; otherwise, no score will be given (full score of 10 points)
5.72
5.67
10
10
Surgical ability
Proportion of operations above grade II in secondary hospitals
12 points for more than 30%, 1 point for every 5% increase, full score for more than 70% (full score of 20 points)
56.53%
58.34%
17
17
Types of operation and therapeutic operation in township hospitals
6 points for more than 30 items, 7 points for 40 items, 8 points for 50 items, 9 points for 60 items, and 10 points for 70 items (full score of 10 points)
32
51
6
8
Patient satisfaction
Outpatient satisfaction
More than 90% get full score, ≥85% score 5 points, ≥75% score 4 points, ≥65% score 3 points, ≥60% score 2 points, less than 60% no score (full score 6 points)
71.32%
88.56%
3
5
Inpatient satisfaction
More than 90% get full score, ≥85% score 5 points, ≥75% score 4 points, ≥65% score 3 points, ≥60% score 2 points, less than 60% no score (full score 6 points)
